Perioperative management of patients with acute subarachnoid haemorrhage, do italians think differently?

With an incidence of 9 per 100.000 person-years, aneu rysmal subarachnoid haemorrhage (SAH) is an acute cerebrovascular event, which can have devastating effects on the central nervous system and a high mortality and morbid ity rate in ICU.1, 2 Despite many aspects of SAH therapy still being controversial, prognosis could be improved by therapeutic interventions and management procedure.1, 2 The Neuroanesthesia and Neurocritical Care Study Group of Italian Society of Anaesthesia and Intensive Care Medi cine (SIAARTI) have participated with great interest into the survey recently published by Valley et al. describing the anesthetic management of SAH patients in Europe.3 The main aim of this study was to highlight the great variabil ity in management of SAH patients. The Italian data are no exception.